Revista chilena de cirugía
versión On-line ISSN 0718-4026
CASTILLO C, OCTAVIO A; VITAGLIANO, GONZALO y VIDAL M, IVAR. Diaphragmatic injury during transperitoneal urological laparoscopic surgery. Rev Chil Cir [online]. 2010, vol.62, n.3, pp. 251-254. ISSN 0718-4026. doi: 10.4067/S0718-40262010000300008.
Introduction: Capnothorax is a rare complication of urologic laparoscopy. However with the increasing use of this technique in a variety of urological procedures, this rare complication is a potential risk. Material and Methods: We analyzed a total of 786 urological procedures performed by transperitoneal laparoscopy in our center. All procedures were performed by the same surgeon: 213 adrenalectomy, 181 simple nephrec-tomies, 143 lymphadenectomies, 118 radical nephrectomies, 107 partial nephrectomies and 24 nephroure-terectomy. Results: A total of 6 patients (0.7%) present diaphragmatic lesions. The diaphragmatic repair was performed totally intracorporeal. One patient required the placement of a pleural drainage. No patient presented complications associated with diaphragmatic injury. Conclusion: Repair of diaphragmatic injury during transperitoneal laparoscopy can be performed successfully by this route. This technique is feasible, reproducible and reliable. This is the largest series reported by a single center.
Palabras clave : Pneumothorax; diaphragm; intraoperative complications; laparoscopy.